MEDICARE: JAMES C. WEIS MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD031627E	PA
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	MD031627E	PA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
11	200023704	OTHER	PA	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	821058	OTHER		FIRST PRIORITY HEALTH
2	21890	OTHER	PA	GEISINGER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	01235401	OTHER	PA	CAPITAL BLUE CROSS
5	117745	OTHER	PA	BLUE SHIELD
6	0066208000	OTHER	PA	KEYSTONE EAST
7	117745	OTHER	PA	AMERIHEALTH ADMINISTRATOR
8	117745	OTHER	PA	KEYSTONE HEALTH PLAN CENT
9	4515759	OTHER	PA	AETNA
10	6891202001	OTHER	PA	CIGNA
12	P592790	OTHER	PA	OXFORD

NPI Number	:	1922090893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES C. WEIS MD

Provider Business Mailing Address
First Line	:	PO BOX 848269
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02284-8269
Country	:	US
Telephone Number	:	610-973-1700
Fax Number	:	610-973-1778

Provider Business Practice Location Address
First Line	:	250 CETRONIA ROAD
Second Line	:	SUITE 303
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-9168
Country	:	US
Telephone Number	:	610-973-6200
Fax Number	:	610-973-6546

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	01/16/2014